| Doctor Name: | BENOY ABRAHAM GEORGE |
| NPI Number: | 1083041321 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSA, LSA |
| License Number: | |
| Business Practice Address: | 2611 Townlake Dr Prosper, TX - 750788979 |
| Business Phone Number: | 9729742993 |
| Business Fax Number: | |
| Mailing Address: | Po Box 123, PROSPER |
| State: | TX |
| Postal Code: | 750780123 |
| Phone Number: | 9729742993 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2013 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |